Tina Marie Broadsword, LMSW

NPI #1730714247 in Rathdrum, Idaho

Provider Information

NPI Number: 1730714247
Entity Type: Individual
Name: Tina Marie Broadsword, LMSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LMSW
Enumeration Date: Mar 4, 2020
Last Updated: Dec 14, 2020

Practice Location

Address: 14950 N COEUR DALENE ST
City: Rathdrum
State: Idaho
ZIP Code: 83858-6484
Phone: (208) 687-0538

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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Organizations

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